Avian influenzas are Type A forms of the virus that occur naturally in wild aquatic and migratory birds around the world. While wild birds can carry bird flu in their intestines and respiratory tracts without getting sick or showing flu symptoms, the saliva, nasal secretions, and feces of infected birds are highly contagious and can spread the virus to domestic chickens, turkeys, and ducks. Low pathogenic avian influenza (LPAI) viruses in infected poultry can cause mild symptoms such as ruffled feathers and a decrease in egg production or no symptoms at all. North American LPAI H5N1 influenza has been regularly detected in wild birds over recent decades with sporadic incidents in commercial poultry. Highly pathogenic avian influenza (HPAI) viruses, such as the current outbreak in South Korea, are much more serious and can cause severe disease and high mortality. According to the United States Department of Agriculture (USDA), HPAI cases in wild birds, captive wild birds, backyard poultry, or commercial poultry have been found in Arkansas, California, Iowa, Idaho, Kansas, Minnesota, Missouri, Montana, North Dakota, Nevada, Oregon, Utah, South Dakota, Washington, Wisconsin and Wyoming since December 2014.
The Centers for Disease Control and Prevention (CDC) notes that bird flu does not typically pose a health threat for humans and these cases are rare. However, humans can acquire the avian viruses through contact with saliva, mucus, or feces of infected birds to eyes, nose, mouth, or by inhalation. LPAI strains are not a health concern for humans and are considered to cause milder symptoms such as conjunctivitis, influenza-like illness, and lower respiratory disease which can lead to hospitalization. HPAI viruses in humans can lead to similar but at times more severe symptoms such as severe respiratory disease, multi-organ disease, and seizures. People who have been in contact with infected birds or areas where birds have been are most likely to be exposed to avian influenza, and can pick up the virus by breathing in infected droplets in the air or touching surfaces and then touching their mouth, eyes, or nose.
CDC officials state that the best way to prevent bird flu infections is to avoid exposure to potentially infected poultry. Individuals who come in contact with wild or domestic birds that might have avian influenza are encouraged to wear personal protective equipment and practice proper hand hygiene. For those who do get infected with bird flu, antiviral drugs typically given for human flu cases may be effective in treating the illness.